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保留喉功能下咽癌切除与修复的临床研究
引用本文:张春丽,刘洪英,许朝霞,魏丽萍,朱梓建,罗霓.保留喉功能下咽癌切除与修复的临床研究[J].中华肿瘤防治杂志,2007,14(15):1170-1171.
作者姓名:张春丽  刘洪英  许朝霞  魏丽萍  朱梓建  罗霓
作者单位:山东中医药大学第二附属医院耳鼻喉科,山东,济南,250001
摘    要:对1990~2002年44例行保留喉功能切除术的下咽癌患者临床资料进行回顾性分析,44例患者术后并发症发生率为45.4%(20/44),32例恢复了喉全功能(72.7%,32/44),出院时42例经口进食,吞咽成功率95.4%(42/44);3年和5年生存率分别为68.2%(30/44)和45.4%(20/44)。初步研究结果提示,对T1~T2期及精心选择的T3下咽癌病例采用有效的术式,达到保留喉功能、提高患者的生活质量是可行的。

关 键 词:下咽肿瘤/外科学  喉切除术  喉功能  生存率
文章编号:1673-5269(2007)15-1170-02
收稿时间:2007-01-21
修稿时间:2007-01-212007-03-21

Clinical study to preservation of laryngeal function in surgical treatment of hypopharyngeal carcinomas
ZHANG Chun-li,LIU Hong-ying,XU Zhao-xia,WEI Li-ping,ZHU Zi-jian,LUO Ni.Clinical study to preservation of laryngeal function in surgical treatment of hypopharyngeal carcinomas[J].Chinese Journal of Cancer Prevention and Treatment,2007,14(15):1170-1171.
Authors:ZHANG Chun-li  LIU Hong-ying  XU Zhao-xia  WEI Li-ping  ZHU Zi-jian  LUO Ni
Institution:Department of ENT , Second Affiliated Hospital of Shandong Traditional Chinese Medical University ,Jinan 250001 ,P. R. China
Abstract:The results of the conservation laryngectomy in 44 patients with hypopharyngeal carcinoma were retrospected.Severe complication occurred in 20 of 44(45.5%).Complete restoration of laryngeal function was achieved in 32 cases(72.7%)and deglutition restored 95.5%(42/44).The 3-year survival rate was 68.2%(30/44)and 5-year survival rate was 45.5%(20/44).T1-T2 or some meticulous selected T3 laryngectomy and hypopharyngectomy is not only efficacious in the treatment of hypopharyngeal carcinomas,but also reserves laryngeal function and thus improves the quality of patients life.
Keywords:hypopharyngeal neoplasms/surgery  laryngectomy  laryngealfunction  survival rates
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